Chronic wounds

被引:508
作者
Falanga, Vincent [1 ,2 ]
Isseroff, Roslyn Rivkah [3 ,4 ]
Soulika, Athena M. [3 ,4 ,5 ]
Romanelli, Marco [6 ]
Margolis, David [7 ,8 ]
Kapp, Suzanne [9 ]
Granick, Mark [10 ]
Harding, Keith [11 ,12 ]
机构
[1] Boston Univ, Dept Dermatol, Boston, MA 02118 USA
[2] Boston Univ, Dept Biochem, Boston, MA 02118 USA
[3] Univ Calif Davis, Dept Dermatol, Davis, CA USA
[4] VA Northern Calif Hlth Care Syst, Dermatol Sect, Mather, CA USA
[5] Shriners Hosp Children, Sacramento, CA USA
[6] Univ Pisa, Dept Dermatol, Pisa, Italy
[7] Univ Penn, Dept Dermatol, Philadelphia, PA 19104 USA
[8] Univ Penn, Dept Biostat Epidemiol & Informat, Philadelphia, PA USA
[9] Univ Melbourne, Dept Nursing, Melbourne, Vic, Australia
[10] Rutgers New Jersey Med Sch, Dept Surg, Newark, NJ USA
[11] Clin Innovat Hub Cardiff Univ, Cardiff, Wales
[12] Skin Res Inst Singapore SRIS, Singapore, Singapore
关键词
DIABETIC FOOT ULCERS; VENOUS LEG ULCERS; LOWER-EXTREMITY AMPUTATION; EPIDERMAL T-CELLS; MESENCHYMAL STEM-CELLS; HUMAN SKIN WOUNDS; PRESSURE ULCERS; BED PREPARATION; POINT PREVALENCE; GROWTH-FACTOR;
D O I
10.1038/s41572-022-00377-3
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Chronic wounds are wounds that do not heal in an expected time frame owing to prolonged dysregulated inflammation. In this Primer, Falanga and colleagues review the epidemiology, pathophysiology, diagnosis and treatment of chronic wounds as well as their effects on patients' quality of life. Chronic wounds are characterized by their inability to heal within an expected time frame and have emerged as an increasingly important clinical problem over the past several decades, owing to their increasing incidence and greater recognition of associated morbidity and socio-economic burden. Even up to a few years ago, the management of chronic wounds relied on standards of care that were outdated. However, the approach to these chronic conditions has improved, with better prevention, diagnosis and treatment. Such improvements are due to major advances in understanding of cellular and molecular aspects of basic science, in innovative and technological breakthroughs in treatment modalities from biomedical engineering, and in our ability to conduct well-controlled and reliable clinical research. The evidence-based approaches resulting from these advances have become the new standard of care. At the same time, these improvements are tempered by the recognition that persistent gaps exist in scientific knowledge of impaired healing and the ability of clinicians to reduce morbidity, loss of limb and mortality. Therefore, taking stock of what is known and what is needed to improve understanding of chronic wounds and their associated failure to heal is crucial to ensuring better treatments and outcomes.
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页数:21
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